Jason M Bailey, D.O.
Individual provider Active NPI Pulmonary Disease Physician · Bolivar, MO
NPI 1275738486 · NPPES record last updated May 21, 2025
Key facts
- NPI
- 1275738486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 05-36693 (KS)
- Practice address
- 1165 N Butterfield Rd
Bolivar, MO 65613-1056 - Phone
- (417) 328-6055
- Fax
- (417) 328-6632
- NPI assigned
- Jun 18, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Citizens Memorial Healthcare
Practice addresses (Care Compare)
Bolivar, MO 65613
Phone (417) 328-6631
1125 N Butterfield Rd
CMH Dermatology
Bolivar, MO 65613-1056
Phone (417) 328-4500
1155 W Parkview
Bolivar, MO 65613-7800
1155 W Parkview
2K CMH Rheumatology
Bolivar, MO 65613-8598
Phone (417) 328-7000
1155 W Parkview St
Bolivar, MO 65613-7800
1155 W Parkview St
Suite 2J
Bolivar, MO 65613-8598
Phone (417) 328-7702
1500 N Oakland Ave
CMH Diabetes
Bolivar, MO 65613-3099
Phone (417) 328-6040
Hospital & facility affiliations
- Citizens Memorial Hospital
- Mercy Hospital Springfield
- Cedar County Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.5 of 100
- Quality
- 69.34
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250510000101 | MO | Practitioner - Pulmonary Disease | 4880829597 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-36693 | KS | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citizens Memorial Healthcare | Current |
Accepting new patients | |
| Citizens Memorial Healthcare | Current |
Accepting new patients |
Locations
1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000
1165 N Butterfield Rd
Bolivar, MO 65613
Phone (417) 777-6246
Interoperability endpoints
- jason.bailey@khindirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 2025006913 | MO | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 05-36693 | KS | |
| Pulmonary Disease Physician | 207RP1001X | 05-36693 | KS | Yes |
Addresses
Primary practice location
1165 N Butterfield Rd
Bolivar, MO 65613-1056
Mailing address
1500 N Oakland Ave
Bolivar, MO 65613-3011
Phone (620) 704-4745
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201086210A | Medicaid | KS | |
| 200508990A | Medicaid | OK |
Other providers in Bolivar, MO
- Hannah Ashlock
- Associates in Medicine
- Associates in Medicine, Inc
- Stephanie Marie Aug
- Azare
- Harcharan Bains
- Laci C Banks
- Deanna Lynn Barklage
- Brandon Barnes
- Brent Allen Bartgis
All providers in Bolivar, MO · Pulmonary Disease Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.